《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 563-565.

• 论文 • 上一篇    下一篇

颈胸髓损伤患者H反射测定值与痉挛的关系研究

熊国星1,2，洪毅2，张军卫2，刘亚东3，陈世铮2，关骅2   

  1. 1.首都医科大学公共卫生与家庭医学学院康复医学教研室，北京市 100069；2.中国康复研究中心脊柱脊髓外科，北京市 100068；3.北京潞河医院骨科，北京市 101100。
  • 收稿日期:2010-01-15 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25

Relation between H Reflex and Spasticity after Cervical or Thoracic Spinal Cord Injury

XIONG Guo-xing, HONG Yi, ZHANG Jun-wei, et al.   

  1. Department of Rehabilitation, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
  • Received:2010-01-15 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

PDF (PC)

被引次数

10

摘要： 目的探讨完全性颈胸髓损伤后H反射相关值的变化及其定量评价痉挛的程度。方法对13例健康成人(对照组)和30例脊髓损伤患者(亚急性期18例，慢性期12例)进行两次比目鱼肌H反射测定，两次之间相隔1个月，对患者同时运用改良Ashworth肌张力评定分级进行痉挛评估。结果通过比目鱼肌H反射检测，各阶段脊髓损伤患者Hmax/Mmax比、最大H波波幅无显著性差异(P>0.05)，但波幅均较健康成人明显减小(P<0.01)。脊髓损伤亚急性期痉挛程度与最大H波波幅、Hmax/Mmax比均呈quadratic关系(P<0.05)，慢性期后两者间呈线性关系(P<0.05)。结论脊髓损伤后比目鱼肌Hmax/Mmax比与痉挛有密切的关系，但它们之间的定量关系还需要更大样本来证实。

关键词: 脊髓损伤, H反射, Hmax/Mmax比, 改良Ashworth量表

Abstract: ObjectiveTo investigate the changes and relevance of H reflex and spasticity after cervical or thoracic spinal cord injury (SCI).MethodsH reflex of 13 healthy adults as controls and 30 SCI patients (subacute, n=18; chronic, n=12) was measured twice from soleus muscle once a month. In the same time, the evaluation of spasm was performed by the modified Ashworth scale.ResultsThere was no significant difference in the mean Hmax amplitude and Hmax/Mmax ratio between different SCI stages(P>0.05). However, the mean Hmax amplitude of the patients was smaller than that of controls(P<0.01). During subacute stage there was quadratic correlation between the mean Hmax amplitude and spasticity, Hmax/Mmax ratio and spasticity. But there was linear correlation between Hmax/Mmax ratio and spasticity during chronic stage.ConclusionThere was closer relation between spasticity and Hmax/Mmax ratio after spinal cord injury. However, the quantitative evaluation need to be proved by larger samples.

Key words: spinal cord injury, H reflex, Hmax/Mmax ratio, modified Ashworth scale